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New Mexico rates for HCPCS 50725

Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,621.81 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,348.96 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,698.24 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $2,884.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,621.81 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $5,128.61 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,698.24 / $2,511.89